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Re: the mother of all mittleschmertz From: art fougner, md (evsono@pipeline.com) Thu Oct 3 07:15:41 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: the mother of all mittleschmertz" Previous message: Dr. John Provatopoulos: "Re: the mother of all mittleschmertz" In reply to: John Robertson MD: "the mother of all mittleschmertz" Next in thread: Anna Meenan, MD: "Re: the mother of all mittleschmertz" saw a young woman with similar amount of blood in the abdomen. the only explanation after surgery was retrograde menstruation! art At Wed, 2 Oct 2002, John Robertson MD wrote: > >A couple of weeks ago I was called to see a 20ish female with pelvic >pain and a 10 cm mass on US. She had been on Depoprovera for about >1&1/2 years and had been off it for about 6 months. She reported having >slightly irregular cycles, the last of which was 4 weeks ago. she also >complained of chest and shoulder tip pain. Her urine HCG was negative. >In view of her pain and the U/S findings I did a laparotomy and found >400cc of blood in her abdomen. it looked very much like a badly >ruptured ectopic. After cleaning this out she had a small steady drip >coming from her right ovary and I excised a corpus luteum, and closed >the deficit. There was no other source found for the bleeding. A CT >scan the following day did not show any source for bleeding and was >essentially negative. She did well and went home, and the final path >report was as predicted. Has anyne ever seen this much bleeding from a >corpus luteum before? Is this a result of the first true ovulation after >depo? The GP thinks I should write it up. John. > >-- >J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 >(604) 793-9988 e-mail john.robertson@obgyn.net >Who is wise and understanding among you? Let him show it by his good life, >by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV > -- art fougner, md ich bin ein New Yorker Next message: Anna Meenan, MD: "Re: the mother of all mittleschmertz" Previous message: Dr. John Provatopoulos: "Re: the mother of all mittleschmertz" In reply to: John Robertson MD: "the mother of all mittleschmertz" Next in thread: Anna Meenan, MD: "Re: the mother of all mittleschmertz"

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